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NPI Code Detail

MEDICARE: EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION

MEDICARE: EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11639481906OTHERNPI

General Provider Information

NPI Number : 1659559490
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION
Provider Business Mailing Address
First Line : 5182 SANDERLIN AVE STE 5
Second Line :
City : MEMPHIS
State : TN
Zip : 38117-4354
Country : US
Telephone Number : 901-683-4529
Fax Number : 901-767-4404
Provider Business Practice Location Address
First Line : 5182 SANDERLIN AVE STE 5
Second Line :
City : MEMPHIS
State : TN
Zip : 38117-4354
Country : US
Telephone Number : 901-683-4529
Fax Number : 901-767-4404
Authorized Official
Title or Position : PRESIDENT
Name : DR. LANDON J WALLACE
Credential : OD
Telephone Number : 901-683-4529
Provider Enumeration Date : 02/04/2008
Last Update Date : 06/09/2026

Similar Medicare Providers

1639481906 — DR. LANDON J WALLACE O.D.
Practice Location Address:
5182 SANDERLIN AVE STE 5
MEMPHIS, TN
38117-4354
Practice Phone: 901-683-4529
Practice Fax: 901-767-4404
1437150315 — DR. J HAYS BRANTLEY MD
Practice Location Address:
5182 SANDERLIN AVE , SUITE 3
MEMPHIS, TN
38117-4354
Practice Phone: 901-685-0152
Practice Fax: 901-685-9982
1083671978 — MICHELLE GREEN SANDS MD
Practice Location Address:
5182 SANDERLIN AVE STE 3
MEMPHIS, TN
38117-4354
Practice Phone: 901-685-0152
Practice Fax: 901-685-9982
1174580765 — DR. LAMAR E BAILEY MD
Practice Location Address:
5182 SANDERLIN AVE , SUITE 3
MEMPHIS, TN
38117-4354
Practice Phone: 901-685-0152
Practice Fax: 901-685-9982
1912007170 — SOUTHWIND MEDICAL SPECIALISTS, P.C.
Practice Location Address:
5182 SANDERLIN AVE , SUITE 3
MEMPHIS, TN
38117-4354
Practice Phone: 901-685-0152
Practice Fax: 901-685-9982
1336510650 — KRISTEN JOYCE FNP-C
Practice Location Address:
5182 SANDERLIN AVE STE 3
MEMPHIS, TN
38117-4354
Practice Phone: 901-685-0152
Practice Fax: 901-685-9982

Directions to “EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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